Peroperative Surgical Management and Recommendations

Peroperative management of the patient, together with specific recommendations, improves the final outcomes and patient experience during the procedure. Preoperative assessment focuses on patient systemic health, the temporomandibular joint, and the evaluation of dental occlusion. Before surgery, professional dental cleaning is recommended, as well as strict dental hygiene during the entire peroperative period. A corticosteroid nasal spray every 8 h is prescribed 3 days before surgery. Intraoperative-controlled hypotension and proper medication, minimally invasive surgical techniques, and limiting the surgery time will improve the results and postoperative period. Intermaxillary elastic fixation is made to guide occlusion at the end of surgery, but at 1 week of follow-up, the patient is instructed in the “five-step procedure” for elastic removal, with mouth-opening exercises (10 times), eating a soft diet, observation of strict oral hygiene, and guiding elastics placement.